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NPI Code Detail

MEDICARE: MRS. LINDSAY JEAN ROPER DPT

MEDICARE: MRS. LINDSAY JEAN ROPER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT33915CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2ZZZ05843ZOTHERCAMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ50827ZOTHERCABLUE SHIELD OF CA

General Provider Information

NPI Number : 1245424985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSAY JEAN ROPER DPT
Provider Business Mailing Address
First Line : 660 S 200 E
Second Line :
City : SLC
State : UT
Zip : 84111-3835
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 660 S 200 E
Second Line :
City : SLC
State : UT
Zip : 84111-3835
Country : US
Telephone Number : 801-359-2256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 03/12/2026

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Directions to “ MRS. LINDSAY JEAN ROPER DPT” Practice Location

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